Displaying 215571-215580 of 1611142 results.
ID:
215571
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215572
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
215573
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
215574
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
215575
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215576
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215577
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215578
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215579
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215580
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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